person
Mr. Antoine J Charles, LCAS
Addiction (Substance Use Disorder) Counselor in Lewisville, North Carolina
NPI 1568941326

Antoine J Charles is an Addiction (Substance Use Disorder) Counselor based in Winston Salem, NC and is specialized in Addiction (Substance Use Disorder). Antoine J Charles practices in Lewisville, NC and has the professional credentials of LCAS. The NPI Number for Antoine J Charles is 1568941326 and holds a License No. 23019 (North Carolina).

The current practice location address for Antoine J Charles is 6614 Shallowford Rd Ste 250, Lewisville, NC and can be reached out via phone at 336-945-0137 and via fax at 336-945-0137.

Location: 6614 Shallowford Rd Ste 250, Lewisville, NC, 27127-9432
person
Provider Profile Details
NPI Number
1568941326
Provider Name
Antoine J Charles
Credential
LCAS
Provider Entity Type
Individual
Gender
Male
Address
6614 Shallowford Rd Ste 250, Lewisville, NC, 27127-9432
Phone Number
336-945-0137
Fax Number
336-945-0137
Provider Enumeration Date
08/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6614 Shallowford Rd Ste 250
City
State
Zip
27023-9305
Phone Number
336-945-0137
Fax Number
336-945-0137
person
Provider Business Mailing Address Details
Address
6614 Shallowford Rd Ste 250
City
State
Zip
27023-9305
Phone Number
336-945-0137
Fax Number
336-945-0137
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
23019 (North Carolina)
Definition
Definition to come...
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